institution
Samuel Walters D.o.,p.a.
Primary Care Clinic/Center in Jacksonville, Florida
NPI 1285966499

Samuel Walters D.o.,p.a. is a Primary Care Clinic/Center based in Jacksonville, FL and is specialized in Primary Care. Samuel Walters D.o.,p.a. practices in Jacksonville, FL. The NPI Number for Samuel Walters D.o.,p.a. is 1285966499 and holds a License No. OS8337 (Florida).

The current practice location address for Samuel Walters D.o.,p.a. is 6531 103Rd St, Jacksonville, FL and can be reached out via phone at 904-772-2727 and via fax at 904-772-1693.

Location: 6531 103Rd St, Jacksonville, FL, 32210-7131
institution
Provider Profile Details
NPI Number
1285966499
Provider Name
Samuel Walters D.o.,p.a.
Credential
Provider Entity Type
Organization
Address
6531 103Rd St, Jacksonville, FL, 32210-7131
Phone Number
904-772-2727
Fax Number
904-772-1693
Provider Enumeration Date
02/12/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
261008600 05 FL
institution
Provider Business Practice Location Address Details
Address
6531 103Rd St
City
State
Zip
32210-7131
Phone Number
904-772-2727
Fax Number
904-772-1693
person
Provider Business Mailing Address Details
Address
6531 103Rd St
City
State
Zip
32210-7131
Phone Number
904-772-2727
Fax Number
904-772-1693
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
OS8337 (Florida)
Definition
Definition to come...
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